Individual
MICHAELAN MERCEDES BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 258-0310
Mailing address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 258-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011346A
IN
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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